Active NPI
Kasey Dutra-Ley
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1265671762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10396
- Practice address
- 3100 Noriega St
San Francisco, CA 94122-4046 - Phone
- (650) 731-5439
- NPI assigned
- Feb 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9331 | MA | |
| Occupational Therapist | 225X00000X | 10396 | CA | Primary |
Addresses
Primary practice location
3100 Noriega St
San Francisco, CA 94122-4046
Mailing address
858 Macarthur Avenue
C
San Francisco, CA 94129
Phone (774) 644-5179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9331 | MA | MD | Clinical Neuropsychologist |
| 10396 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1265671762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 MACARTHUR AVENUE",
"address_2": "C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94129",
"telephone_number": "774-644-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NORIEGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224046",
"telephone_number": "650-731-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTRA-LEY",
"first_name": "KASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-07",
"last_updated": "2021-10-26",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9331",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.